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Home My WebLink About2004-P07476 - attached deck PERMIT C fTY O F O RO N O Permit Number: 2750 Kelizy Parkway- PO Box 66 P07476 Crystal Bay, Minnesota 55323 Pe�t111t Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 5/14/2004 SITE ADDRESS: 2425 Maple Lane I.ong Lake,MN 55356 P I D: 3 3-118-2 3-44-0021 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construcrion Type VN Census Code 434 Permit Class: Building Pernut Type: Addirion/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: Eiecmcai(siaie� NOTICES/REMARKS: T=_7_T__.1_//'�:_=1__ FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ 15,000.00 Plan Review Fee: $ 163.28 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 422.53 APPLICANT: Owner/Self OWNER: Karen Shinkle n'IN 2425 Maple La Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ;�:. _ ` � � ��'y'�-� /�� ;. - ` �' LICANT ERMITEE SIGNATURE IS UED BY SIGNATURE ,: Conies: 1-File(SiQnitures Required), 1-Anulicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 ' �ZZ S3 �°� �' ( a(� Total Fee: $ �j Date Recerved: ,� / ( Entea-ed By: Permit#: � ��-= '"' f. . ��'., 4 ;� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan re�iew will be started. (please print all information) THE APPLICANT IS: (circle one) OWNE OR CONTR�CTOR JOB SITE ADDRESS: �'�� N`��4' L� ZIp; �5� S,� Will this be a Pa de of Homes, Remodelers Sho��•case Home or other Display Home? ❑ Yes No If yes, a special event permit is reqaiired with Police Department and City Council approva160 days prior to the ei�ent. Non permitted events will not be allowed. � NAME OF OWNER�. .��, �� Tt�-St��% PHONE: (home �5a� � C •- �y� (work) �� p.__ � "ZZ MAILING ADDRESS: ��f�"; M+��-� �`��'` CITY• U��U� ZIP• �S 3;� CONTR�CTOR: PHONE: CONTACT PERSON: MOBILElP�GER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �.�_ Q r-T�p�-�-� PHONE: 6 �v�� (- 3 f 3 MAILING ADDRESS: (�!�3� 5'K�v►-�2 �f-�'�= N CITY: �.�q,,..p(,�,.,, ZIP: S�3� NAI�TE: REGISTRATION# TXPE OF`�ORK: New Accessor�- Structure Addition 1( Move � RemodeUAlteration Land Alteration PROPOSED WORK(describe in detai�: �QC�f v� ��z�lL��,�2�b� � U; ,��,„�s� f��>��rL —� �cQ1�= x+ c�,:,sr� `Cvc.,� l �r��r�c,l,� C�c2� r�� r,��+�Sz�.O .�, -• ,pl�� ;;r-'> f ' - - ,,- � ; ,,� �;1��;,�v�, STORIES: �- SQ. FEET OF EACH FLOOR: ��c�� NO. OF BEDROOMS: �_ G_�RAGE STAI,LS: ATT. � DET. ESTI�LATED CONSTRUCTION VAI.UATION (excluding land): S /S, OOQ I hereby apply far a building permit and I ac�nowledge that the information abo��e is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and w-ith the State Building Code; that I understand this is not a pernut and work is not to start without a pernut;and that the work will be in accordance with the approved plan. � APPLICANT'S SIGNATURE: _� DATE: O' � - . Sec.13.04 RIGHTS OF SUBJECTS OF DAT.a . Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. , Subd.2. Information required to be given individual. An indi�idual asked to supply pri��ate or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state:gency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data:(c)any known rnnseqaence arising from his supph ing or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant ro section 13.82,subdivision 5,to a law entorcement oflicer. The commissioner of revenue mav olace the notice reauired onder this subdi�ision in the individual income tac or uronertv tax refund instructions mstead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authorih�,an indi�idual shall be informed whether he is the subject of stored data on individuals,and whether it is ciassifed as public,private or rnntidential. L-pon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him znd,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private dat'and informed o[its meaning,the data need not be disclosed to 6im for six months thereafter unless a dispute or action pursuant to this section is pending or additional dat=on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individnal subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifyin�,and compilin;the rnpies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days o[the date of the request,exduding Saturdays,Sunday�s and legal holidays,if immediate compliance is not possible.If he cannot compi}�with the request within that time,he shall so inform the individual,and ma}•ha��e an additional fi�e days within N hich to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual ma}�rnntest tLe accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in N riring the responsible authority describing the nature of the disagreemenL The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual:or(b)notifc the indi�-idual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the pro�isions of the administrative procedure act relating to contested cases. DATA PRIV aCY ADVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",n•e�s�ould like to inform you that your request for a permit or license from the City of Orono or any of its departments ma�-require you to furnish certain private or contidential information. You are notified that: 1. The information you furnish��•ill be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local,state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(a��ailabte upon request)to review private data on yourself. 6. Your full name is required to process this application or permiL �C�J�. � �U�I r\ ��f- � I J��Lc�-)./li cirst �fiddle st c�-`{� � �l+�PL L Lr'�'�C Address �j�U� ,' ��C/ �7��: G C/-�c�) �f 7�.,—(C-�j c�. C�h' State 7�p Phone I understand my rights as stated above. . ,�'' ..� // � `=_' �" _ �� Sig ature . � CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY . ADI�RESS OR LEGAL: 2�t z 5. ;n,n�a P 3,�:� z,�ri�. PID: DESCRIPTION OF WORK: f'oRc.rc ,�`�L;.t�% ��4�a� � �,,�r:�a�.J j1�r';�-.�.s�`�v�v�— ZOY�TG REVIEW BY: DATE APPROVED: �- �y- ��r BUII.,DING REV�W BY: �/.,,C DATE APPROVED: s-�Y-�y FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERIVIIT Yes �!' No PLAi�t REVIEW Yes ;/ No SEWER CONNECTION STATE SURCHARGE Yes ;/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CHE.CK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. 1 7��S Acres .`�{ Width �t� Depth � 4� Survey Submitted: Yes � No Date of Survey: n^i ��u `l—ff-�i�{ Proposed Setbacks: ' Front (�aice): I ��1 Right Side: ZS ' � Rear (Street): 3`d Left Side: a 5` Adjacent Structures: �-T-r�c�cc-r��l �Vedand: n) i F'9 Building Hei;ht: Def. Hgt. v.�` Peak Hgt. Lot Coverage: 1 3•� Grading: Staff Approval Date: � �,q By: Council Approval Date: Septic: Staff Approval Date: ,� �� By: Zoning File: # — Resolution: # -- Resolution Date: " Shoreland District: �`� Avg. Setback: Bluff Setback: L.otCoverage: 1 3•� Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RENLARKS (in house): 7 BUII.,DING REVIEW CHECK LIST �C� ��' 3 CONSTRUCTTONTYPE: i� _ Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd F1oor x _ Garage x = x — TOTAL Estimated Construction Value: $ i5,o o::.�e� Inspections Required: �Vork Requiring Separate Permits: S ite Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing � Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) K Final Grading/Filling D� Elecuical (State Permit) Other REnZ�RKS (I'iv HOUSE): . ----------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; ------------------------------------------------------------ REMARKS (TO BE NOTED ON PER11�II�: 8 � 2�-1 Z S %�'`��Y�� c � a c��_ . 1� � '� �-� -7C� ; �� ,. � N � 0 � � ' � � �� ti v� v \� �a � ��.�i`t�""'•%"�./' � Ul � ^U° � � � , � ,� - I . �`�r: '` �f , _ _ i � , -- W _-- --�-��,' ,, •------ , o - �S,5 � r,� ?8.y -------35J --------- _ `�' -" � L�GAL DESCRIPT o • � `=' SURVEYED : EX1Sfln S�n._ ._ o o ° Z � � N o �b".�, Lot 2 , Block 3 Nouse N LONG LAKE HEIGI .• f3.3 38.9 j o : denotes irc �r,i� � : denotes i rc Bearings shown ex i 3 t i n9 , �"_'_--.- upon an assumec {eKe ��a This survey ini the boundaries _ described propE " location of an � �� thereon . It doE �l C(T� `��..�i� _ ��1�'�� L�+,� t o s h o w a n y o t r , ments or encro� k� ;1 r� �l 4� `.:r-�ec�c�GA u�� ec�/ r-, : � ,,,� � ,:� ;�� ;�;��I��'��'�� t� rr , . „ �.. � -, r, . ,-..„_;S j,•T� I � r./;�r'4:z,�1"��`, �I� . , , DA7E �-- �y�� r� a� o , �. � --�. �.: , � ,..3�� .� ��';fJ ��,�s�'`''J�.� � " ' N 89°W 90.00 - - !� �,E�fi3�::i'�� J� a, � � tiv�zH RF u ��.:��}�� ---- ; ; �� . - ,_:�_ �ATE s-- 3i- _ ; V ��DAT� TIME CITY OF ORONO CALLED IN 2 INSPECTION NOT E SCHEDULED � �°v PERMIT NO. COMPLETED ADDRESS a S � LDc/�— OWNER � �� '�U�t i^ CONTR. C��►��` TELEPHONE NO. �P l a �7C7 �{� 2�(' � DESCRIPTION yry�� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q F 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL ' 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OW E CONTRACTOR TO MEET YOU:_YES_NO � COMME a G� � Gt 5 C�t. �Z� C � J O >. � O � W � Q � 2 W � W � � d W� .�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCon r site: Inspector. White Copyllnspector File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN g' INSPECTION N T CE ' / / SCHEDULED � ;�'� PERMIT NO. ��`�'�C� COMPLETED ADDRESS a�aJ� �4�1��. OWNER L�2�� 4��[-S�P_�:� CONTR. TELEPHONE NO. 952 -�7�0 -/(09� � DESCRIPTION�� not re�� - �� l� �0 FOOTING 1 ' 11 MECHANICAL RI EXCAV/GRADING/FILLING y�0�( 2' �MING �a,G��1�3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q-03 INSULATION �� 2�/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: .O.Q4ix-a �'O `7� � u' Q ,t��2�n-2. �'�'c�.Q.d, —�ZO a � � 0 � � 0 � W � Q � z W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (g52) 249-46�� OwnerlCon ite: Inspector. White Copyllnspector's ile Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTIONNOTICE SCHEDULED S-✓� -� ��30 PERMIT NO. 7��7� COMPLETED � ` � ADDRESS ZK Z} /h1}Ou% Gr4n'E OWNER CONTR. TELEPHONE NO. � DESCRIPTION �OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o -- � vT /� �'�- � � �Z`` �Zi/jL'`S �c� ��4-DS 0 � W � Q - � 2 W � W � j d W��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ��O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor s' . Inspector. Whiie Copylinspector's F11e Canary CopylSfte Notfce � DA E TIME " ITY OF ORONO CALIED IN -� �� INSPECTION NO I�E Y�� SCHEDULED ` - -PJS� ��> > PERMIT NO. Q COMPLETED ADDRESS � � � � OWNER � �� -� � �' r CONTR. (J�Llhrz.�^ TELEPHONE N0. �0�� 7�7 O 7 ( Y � DESCRIPTION L✓� �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W . 12 WATER HOOK-UP 17 SITE INSPECTION 05 FI 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �.� E'Gl� �:tiA � biL 0 a � 0 � W � Q ti Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED 1�2�iOJECT COMPLETE W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN _j CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � � L�� White Copylinspector's File Canary CopylSite Notice